• Responsible for the overall implementation of the client specific insurance model.• Work with BCBS counterparts to ensure Client satisfaction. • Resolved escalated complaint received from client executives.• Work directly with sales executive for ongoing opportunities. • Maintain senior level management contacts with benefits, human resources, and the financial staff of the client. • Responsible for the service delivery and PGs of Health Luminare Health products and… Show more • Responsible for the overall implementation of the client specific insurance model.• Work with BCBS counterparts to ensure Client satisfaction. • Resolved escalated complaint received from client executives.• Work directly with sales executive for ongoing opportunities. • Maintain senior level management contacts with benefits, human resources, and the financial staff of the client. • Responsible for the service delivery and PGs of Health Luminare Health products and services that ensures client satisfaction.• Responsible for managing day to day operations performed by Client Coordinators• Supervise internal departments Show less

-Work collectively with the Client Executive team to assist in client strategy, sales efforts, and client retention.-Work with appropriate internal partners to manage information security requests as well as facilitate eligibility file vendor changes.-Coordinate client meetings with the ability to drive client discussions. Assist with coordination of client business reviews.-Utilize Salesforce, Definitive, Tableau, FMS Data, Power BI, Great Plains to generate key client/user… Show more -Work collectively with the Client Executive team to assist in client strategy, sales efforts, and client retention.-Work with appropriate internal partners to manage information security requests as well as facilitate eligibility file vendor changes.-Coordinate client meetings with the ability to drive client discussions. Assist with coordination of client business reviews.-Utilize Salesforce, Definitive, Tableau, FMS Data, Power BI, Great Plains to generate key client/user analytics for Client Management-Create and maintain dashboards that reflect utilization, case data around users, and assist with creating reports to forecast encounter volume.-Create automated reports for client utilization-Ensure expectations are set appropriately related to open tasks to all parties-Act as HHS licensing point-person. Demonstrate a competency in Teladoc opportunities and licensing categories (PAS, IWA, Modules, etc)-Assist clients with user license training, reporting and support-Maintain records of client activities in CRM (Salesforce)-Secure successful execution and resolution to client needs and requests-Capability to recognize and manage the nuances of all solutions across HHS-Other duties as assigned-Coordinate client meetings with the ability to drive client discussions. Assist with coordination of client business reviews. Show less

-Introduce and manage client specific population health programs-Facilitate growth of client’s membership and through upsell opportunities-Operate within familiarity of the Client's Contract -Adhere to established PGs and other contractual matters by closely monitoring targets and service levels.- Develop reporting and maintain reporting schedules-Manage various projects and senior leadership as needed-Escalate issues and engage various departments as needed-Manage… Show more -Introduce and manage client specific population health programs-Facilitate growth of client’s membership and through upsell opportunities-Operate within familiarity of the Client's Contract -Adhere to established PGs and other contractual matters by closely monitoring targets and service levels.- Develop reporting and maintain reporting schedules-Manage various projects and senior leadership as needed-Escalate issues and engage various departments as needed-Manage client’s marketing and communication strategies-Monitor analytic data to ensure program engagement and employer cost reduction-Initiate projects based on program enhancements, issues, or client requests-Organize project timelines and obtain alignment with clients, vendors, and AHM staff.-Work with the client's established vendors to ensure eligibility and claims data are received in a timely manner. Show less

-Provide project status and open issues to the account management team-Track and respond to client requests- Assists in preparation of meeting materials- Attend client meetings and present as necessary- Attend necessary client events to promote AHM services- Maintain constant familiarity with reporting developments, status of reporting deliverables and reporting needs.- Track internal issues and outstanding tasks- Document and distribute meeting notes- Problem… Show more -Provide project status and open issues to the account management team-Track and respond to client requests- Assists in preparation of meeting materials- Attend client meetings and present as necessary- Attend necessary client events to promote AHM services- Maintain constant familiarity with reporting developments, status of reporting deliverables and reporting needs.- Track internal issues and outstanding tasks- Document and distribute meeting notes- Problem solves as necessary- Raise internal or client concerns to the account management team- Identify and solve escalated member issues.- Determine root causes of customer service issues and develop solutions Show less

- Work closely with account managers to maintain relationship and provide upsell opportunities- Resolve issues regarding eligibility and billing from account management, brokers, and plan sponsors- Provide technical support for Aetna systems such as: Producer World, Springboard, EzEnroll and Ebusiness sites.- Process urgent enrollments- Supports plan administration activities, including case installation, enrollment, plan set-up, eligibility, and billing.- Accept payments… Show more - Work closely with account managers to maintain relationship and provide upsell opportunities- Resolve issues regarding eligibility and billing from account management, brokers, and plan sponsors- Provide technical support for Aetna systems such as: Producer World, Springboard, EzEnroll and Ebusiness sites.- Process urgent enrollments- Supports plan administration activities, including case installation, enrollment, plan set-up, eligibility, and billing.- Accept payments for premiums and accounts listed as being in collections.- Resolve escalated issues-Interpret state and federal legislation to plan sponsors and brokers Show less

- Handle customer service inquiries via telephone, internet or written correspondence- Respond and assist with escalated calls and supervisory call backs- Provide support and mentorship to current team members- Assist in training current team members in resolving member inquires- Assist in offline activities to resolve escalated issues- Collaborate with team lead and QA’s with to increase team performance- Consistently exceed measured performance goals- Work closely… Show more - Handle customer service inquiries via telephone, internet or written correspondence- Respond and assist with escalated calls and supervisory call backs- Provide support and mentorship to current team members- Assist in training current team members in resolving member inquires- Assist in offline activities to resolve escalated issues- Collaborate with team lead and QA’s with to increase team performance- Consistently exceed measured performance goals- Work closely with account managers and Sales dept. To resolve customer inquiries Show less